Abstract

Many experimental studies have been performed to evaluate mild diabetes effects. However, results are divergent regarding glycemia and insulin measurement, fetal macrossomia, and placental weights. The aim was to investigate repercussions of neonatally-induced mild diabetes on the maternal organism and presence of congenital defects in their offspring in other mild diabetes model. On the day of birth, female offspring were distributed into two groups: Group streptozotocin (STZ): received 100 mg STZ/kg body weight, and Control Group: received vehicle in a similar time period. Maternal weights and glycemias were determined at days 0, 7, 14 and 21 of pregnancy. At day 21 of pregnancy, the rats were anesthetized and a laparotomy was performed to weigh and analyze living fetuses and placentas. The fetuses were classified as small (SPA), appropriate (APA) and large (LPA) for pregnancy age. Fetuses were also analyzed for the presence of external anomalies and processed for skeletal anomaly and ossification sites analysis. Statistical significance was considered as p < 0.05. In STZ group, there was increased glycemia at 0 and 14 days of pregnancy, lower weights throughout pregnancy, higher placental weight and index, an increased proportion of fetuses classified as SPA and LPA, and their fetuses presented with an increased frequency of abnormal sternebra, and absent cervical nuclei, which were not enough to cause the emergence of skeletal anomalies. Thus, this study shows that mild diabetes altered fetal development, characterized by intrauterine growth restriction. Further, the reached glycemia does not lead to any major congenital defects in the fetuses of streptozotocin-induced mild diabetic rats.

Highlights

  • Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia, insufficient insulin secretion, and receptor insensitivity to endogenous insulin

  • Two streptozotocin administration were performed and the results showed that this mild diabetes model led a negative impact on maternal reproductive performance and caused intrauterine growth restriction and impaired fetal development

  • In the present study, it was verified that neonatally streptozotocin-induced diabetic rats presented glycemia superior than 120 mg/dL on day 0 of pregnancy, confirming the inclusion criterion for the diabetic group

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Summary

Introduction

Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia, insufficient insulin secretion, and receptor insensitivity to endogenous insulin. In pregnancies complicated by diabetes, hyperglycemia and alterations in lipid metabolism are associated with both maternal and fetal complications [2,3], causing reproductive abnormalities that enhance spontaneous abortion, congenital anomalies, and neonatal morbidity and mortality [4,5]. The infant of the diabetic mother has increased risk for several neonatal complications, Despite increased clinical efforts to improve glycemic control during diabetic pregnancy, the rate of congenital malformations remains increased in studies of Diabetes mellitus (DM) of type 1 [6,7,8,9], DM type 2 [9,10,11,12], and gestational diabetes (GDM) [10,13]. The malformation considered to be most pathognomic to the infants of diabetic mothers - caudal regression syndrome or sacral agenesis - is claimed to be 200-400-fold more frequent [21] but is still a rare anomaly

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